Prevention of Postoperative Ventral Hernias After Median Laparotomy in Urgent Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 700
- 试验地点
- 1
- 主要终点
- Postoperative ventral hernia
研究概览
简要总结
The research is aimed at identifying factors of herniation after median laparotomy and developing surgical methods for preventing postoperative ventral hernias and eventrations.
详细描述
At the first stage, an analysis of the prevalence of postoperative ventral hernias in patients after median laparotomies in urgent surgery will be performed, with the identification of factors contributing to the development of postoperative ventral hernias. At the next stage, the investigators will search for the most reliable methods of suturing the white line of the abdomen, taking into account the risk of hernia formation, with their implementation in patients operated in an emergency through median laparotomic access in comparison with traditionally used methods. In conclusion, an algorithm will be developed for selecting the method of surgical prevention of postoperative ventral hernias, taking into account the risk of their development.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients of both sexes aged 18 years and older who are expected to perform median laparotomy on a planned or emergency basis.
- •Patients who have signed an informed consent to participate in the study, after the purpose and meaning of the study have been explained to them.
- •Patients who follow the doctor's instructions.
排除标准
- •The death of the patient.
- •Stage IV cancer
- •Hernia repair with hernioplasty, including simultaneous surgery
- •Refusal of the patient to cooperate with the researcher.
结局指标
主要结局
Postoperative ventral hernia
时间窗: 2 year
Frequency of postoperative ventral hernia in the late postoperative period
Defects in the aponeurosis
时间窗: 2 year
Frequency of aponeurosis defects in the late postoperative period
Wound complications
时间窗: 2 weeks
Frequency of wound complications in the early postoperative period.
Pain syndrome
时间窗: 2 year
The severity of pain syndrome in the postoperative scar after midline laparotomy using a verbal scale of pain syndrome
Eventration
时间窗: 2 weeks
Frequency of events in the early postoperative period
次要结局
未报告次要终点